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Area of Science:

  • Nursing Science
  • Healthcare Management
  • Patient Safety Research

Background:

  • Registered nurse (RN) and nursing assistant (NA) teams are fundamental to nursing care delivery.
  • The quality of RN-NA relationships influences healthcare system capacity for improving patient outcomes.
  • Breakdowns in communication and teamwork are associated with adverse events in healthcare settings.

Purpose of the Study:

  • To examine the relational quality between registered nurses (RNs) and nursing assistants (NAs).
  • To investigate the associations between RN-NA relational quality and perceptions of teamwork and communication.
  • To identify strategies for optimizing patient care delivery through improved nurse-assistant relationships.

Main Methods:

  • Cross-sectional secondary analysis of data from the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture.
  • Involved 889 registered nurses (RNs) and 263 nursing assistants (NAs).
  • Assessed perceived relational quality between RNs and NAs.

Main Results:

  • Significant differences were found in teamwork and safety grade ratings based on perceived RN-NA relational quality.
  • Both RNs and NAs reported high perceived teamwork when the patient safety grade was low.
  • RN-NA relational quality is a key factor influencing teamwork perceptions and patient safety ratings.

Conclusions:

  • Improving the teamwork and communication relationship between RNs and NAs yields significant benefits.
  • Enhanced RN-NA relational quality can be leveraged by nurse leaders to optimize patient care delivery.
  • Strengthening the RN-NA dyad is essential for improving overall patient outcomes and safety.